882 Ocean Blvd roof 2014 CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
\ i ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMA .
Job 1417001- 190
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $7,900.00
Issue Date: 10/10/2014
Expiration Date: 4/8/2015
PROPERTY ADDRESS:
Address: 882 OCEAN BLVD
RE Number: 170345-0000
PROPERTY OWNER:
Name: UZUNER, OVSEVQ &,
Address: 882 OCEAN BLVD 882 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: ALL SEASONS ROOFING OF N FL
Address:
Phone: - -
FEES:
PLAN CHECK FEES $44.75
BUILDING PERMIT FEE $89.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $138.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: �� / ,PeO/✓ ff4/y(/ X�AIj(�- APehl Permit Number:
Legal DescriptionParcel#
Floor Area of _S .Ft. t
Valuation of Work S DD Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition te; Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commerciales• t•
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval# ,14z- ��W/
For multiple products use product approva orm /
Describe in detail the type of work to be performed: - �-
Property Owner Information:
Name: U�/1 Address:
City "zwState LZir 32 Phone_T1Va7011
E-Mail or Fax#(Optional)
Contractor Information: /^ r� 1 Qualifying A ent: //Company Name:
'
Address: /`�D l inG City State Zip
Office Phone �Dy �y�3- Joct Number APkC c�/" 1� ax#
State Certification/Registration#Z J,%=
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installatiFoa11
s as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standarf laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrics!Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether s eci ted h ei o not. The granting of a permit does not presume to gi rity to violate or cancel the
provisions of any other fed al tate, o local w re 1 ing struction or the performance of
,t
Signature of O er l v Signature trac
Print Name .... ...... `....... :_'..�..J.... .... ..........N-d.1 Ft..... ...VU. ........... Print Name 1 ........ .. �i��....._ ,1....... ......................................................
Sworn�t and subscribed before me Sworn to and subscribed be ore me
this E—=Day of v 20 this Day of 20
N
o ;t► A u S 9LOl'�aaawatdag satwx :f
Commis ion#FF 124676 9L9V ''1 ;E'e - Expires September 1,2018 sx2015 . Banded Thu Troy fdn lnsuaw�lOOaB670+o
OCT-13-2014 14:39 From:912 E 3553
Pa9e: 1�1
PERMIT NUM3ER
NO 1`10E OF COAME CElV1ENIF
Vi ORIDA ST,A,'ITJTE 713.13
STATE OF&ORMA
The undersigned hereby givf notice that improveittel-tt wdl Ise 'T adc t' certain real Property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
the Notice of ComMenectxtent_
1. Description f p : (1e at descnption gf heprop , and strp/per/�y available). R. 3
w
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2 General description of improvement: t �
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3 Owner Information
a Name and address: }
o u.J
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b. Interest in proptrty: w ; M- y rn
�,,, - ._ ..... __ 7 m _ L
c.. Name and address of fee s ,Vle titleholder(if other than owner):
o t 0
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4 (°nr,tT'.i 2 or,(NamP and ad�r - (r
TNO cotti
ne number:
a��l hnumber: '.,. � ��.\�� � 4 Y • M� �� � v 1
5. Surety. VVV
a. Name and address-,
b. Phone number: c- Fax number: T w
d. Amount of bond: $ �-
6. Lender: (N=e and Address) W—
a. Phone number: _ ^.-...._.__....^._b J Fax number: _
7. Persons within the State of Florida designated by Owner upon whom notices or other documents
may be served as provided i,n Secti 713.13(i)(a) 7 , Florida Statutes: (name and address)
a. Phone number: �....,_..._._. __ b.Fax number:
8. In addition to himself, Owner designates
ot receive a copy of the Liens Notice as provided
to Section 713.13(1)(k>},Florida Statutes-
9. Expiration date of;notice of wmmencement (the expiration date is one (1) year m the date of
recording unless a different date is specified) /y-
r
t 5i a of Own
Print Nazne
Swo to (or affirtned) and subscribed before me this day of j ., �a by
tnE-LA
{Nam of erson °
D981114V ALEV-9.xlda
NotBry Pub1iC 3taN
Seal: Commission#R 1 Signature otary-State of Florida
MY comm expires : 2015
Personally Known OR Produced Idcntification/Type FLIP L—